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| Cancer Epidemiology Biomarkers & Prevention | Molecular Cancer Therapeutics |
| Molecular Cancer Research | Cell Growth & Differentiation |
Department of Biochemistry, The University of Western Australia, Crawley 6009, Western Australia, Australia
| Abstract |
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-fetoprotein) are similar. Therefore, embryonic and perinatal liver development is normal in the absence of p53. However, the p53 -/- adult liver displays small blast-like cells, the majority being hepatic and some lymphoid. These cells appear in periportal regions and can infiltrate the parenchyma. The hepatic blast-like cells express both mature and immature liver markers, suggesting that differentiation of the liver stem cell compartment is blocked. | Introduction |
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Early fetal liver contains haematopoietic cells, as well as immature hepatoblasts that are purported to be bipotential progenitor cells, being capable of differentiating into hepatocytes and biliary epithelium (9, 10, 11) . The progenitor cells express a range of markers that are expressed by embryonic hepatocytes including, AFP, Alb, the M2 isoform of pyruvate kinase (M2-PK), and CK19 (12) . Differentiation of progenitor cells to mature hepatocytes is accompanied by the down-regulation of AFP and CK19 and the switching of expression from M2-PK to the adult L-isoform of pyruvate kinase (L-PK; Ref. 13 ). If the progenitor cell differentiates into biliary epithelium, it retains expression of CK19 but not of hepatic markers (AFP, Alb, and M2-PK; Ref. 14 ). Embryonic liver progenitor cells and the facultative liver stem cell (oval cells) have been reported to express similar markers and to differentiate into both hepatocytes and bile duct cells (13) . Oval cells proliferate during experimental carcinogenesis or when chronic and severe liver trauma is associated with the inhibition of hepatocyte division and thus their ability to replace lost parenchyma.
Maturation of all tissues requires a balance between cell proliferation (both to attain cell numbers and to acquire the differentiated phenotype) and apoptosis (to maintain tissue homeostasis). The two events of proliferation and differentiation are often mutually exclusive; a proliferating cell usually becomes quiescent (Go) prior to differentiation, and a correct balance of these processes is crucial for normal tissue development (15) . For these reasons, regulation of the cell cycle has been implicated in cell differentiation. Proteins controlling the balance between proliferation and differentiation act by regulating various checkpoints throughout the cell cycle. p53 is one such protein reported to control different stages of the cell cycle, because it acts to protect the genome after DNA damage or cellular stress. A rapid rise in the levels of activated p53 results in either growth arrest or apoptosis (16) . p53 can promote G1 or G2 arrest, block mitotic spindle formation, and assist in DNA repair by transcriptionally activating genes such as p21WAF1 (17) , Gadd45 (18 , 19) , and cyclin G (20 , 21) . p53 signals cell apoptosis under certain conditions, by enhancing transcription of genes such as BAX (22 , 23) , APO 1 (24) , and IGF-BP3 (25) . Thus, p53 has a pivotal role in maintaining genome stability. In its absence, a cell will divide without checkpoint control and consequently accumulate DNA mutations.
We chose the p53 knockout mouse to study the relationship between proliferation and differentiation in the liver, anticipating that dysregulated cell proliferation would result in aberrant differentiation. Three lines of p53 null mice produced independently were reported to develop normally (26, 27, 28) . This was contrary to expectation, given the role of p53 in cell cycle control and apoptosis. Predictably, the lack of p53 rendered the null mice susceptible to broad-spectrum tumor formation within (on average) 6 months. The most common form of tumor was lymphoma (>70%), present in either the thymus or metastasized to other organs. Sarcomas of various tissues were also detected as the second most frequent lesion (26) . These results suggest that p53 has no major role in development but clearly demonstrate its tumor suppressor function. The effect of p53 ablation has not been studied in a tissue with a well-defined developmental pattern; thus, we have performed a detailed analysis of cell proliferation, differentiation, and cellular composition in the p53 null liver.
This study reports that the proliferation and differentiation of embryonic and postnatal p53 -/- liver is normal, suggesting that p53 is not essential for embryonic and perinatal liver development. However, the adult p53 -/- liver shows increased hepatocyte proliferation and the presence of hepatoblast-like cells. The hepatoblast-like cells actively proliferate and accumulate without differentiating, suggesting that blocked ontogeny occurs in the stem cell compartment of the adult p53 null liver.
| Results |
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Proliferative Index of Adult p53 -/- Hepatocytes Is 22.5 Times That of Wild Type.
Immunolocalization of PCNA in p53 -/- (mild), +/-, and +/+ adult liver shows a greater number of positive cells in p53 -/- and +/- compared with wild type. Two distinct cell populations in the p53 -/- and +/- livers are PCNA positive, hepatocytes (cells with large round nuclei) and smaller blast-like cells (small with a scant cytoplasm). p53 -/- liver with a mild blast-like cell phenotype has 2.5 times the number of PCNA-positive hepatocytes than their p53 +/+ counterparts, and the p53 +/- liver has 1.3 times (Fig. 4)
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Primary cultures of p53 -/- and +/+ hepatocytes incorporate [3H]thymidine at levels of 1.55 ± 0.04 dpm/µg DNA and 0.81 ± 0.03 dpm/µg DNA, respectively. PCNA and [3H]thymidine studies taken together show that 22.5 more adult p53 null hepatocytes are proliferating compared with wild type.
One-third partial hepatectomies were performed on adult p53 -/- livers with mild disruption because of blast-like cells and their wild-type counterparts. Four days after hepatectomy, there was no significant increase in the number of blast-like cells (identified by H&E morphology and M2-PK staining) nor any significant change in their PCNA expression (9.3 ± 0.8%). There was an increase in PCNA expression in hepatocytes as a result of the procedure; 0.12% of total wild-type hepatocytes were proliferating versus 3.34% of hepatocytes in p53 -/- liver. Only 0.03% of hepatocytes in sham-operated animals express PCNA. This equates to a 29-fold increase in PCNA positive in the p53 -/- compared with the wild-type liver.
Blast-like Cells Are Predominantly Hepatic and Express Both Mature and Immature Liver Markers.
A typical portal area of moderately affected p53 -/- liver contains both small basophilic blast-like cells and larger hepatocytes (Fig. 5A)
. Staining of serial sections revealed that nearly one-fifth (17.6% ± 2.1) of the blast cells stained positively for B- and T-cell markers (Fig. 5B)
. The remainder of blast-like cells express Alb (Fig. 5C)
, TN (Fig. 5D)
, L-PK (Fig. 5E)
, and M2-PK (Fig. 5F)
. All blast cell colonies contained some cells expressing B and T markers as well as Alb-, TN-, L-PK-, and M2-PK-expressing cells. In half of the blast cell clusters, there was a small fraction (9.8% ± 3.1) of cells that stain positively for CK19 (Fig. 5G)
. The blast-like cells do not express tyrosine aminotransferase and AFP (result not shown). These hepatic markers were not expressed in various nonhepatic tissues (lymph node, spleen, lung, and thymus) tested. The blast-like cells are a mixed cell population consisting mainly of immature hepatic cells and a small population of lymphoid cells. Expression of Alb and L-PK in mature hepatocytes surrounding areas of blast-like cells is patchy, comprising cells staining with a range of intensities. In general, there is a decrease in hepatocyte expression of Alb and L-PK with increasing numbers of blast-like cells (data not shown).
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2-fold normal size. p53 +/+ and -/- mild and moderately affected livers were totally negative for caspase-3 throughout the liver lobule (result not shown). Four p53 -/- livers severely disrupted by blast cells (91.1 ± 2.1% blast cells) all show strong caspase-3 staining in the islands of hepatocytes surrounded by completely negative blast-like cells (Fig. 6)
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| Discussion |
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We show that liver proliferation during development is not affected by the absence of p53, and accordingly, neither is the developmental expression pattern of Alb, AFP, PAH, PEPCK, or G-6-Pase. Thus, our results are consistent with previous findings, which suggest that p53 is not required for normal embryonic development and specifically, liver development. We conclude that either p53 has no major role in liver cell proliferation, or that other cell cycle regulators are capable of maintaining normal cell proliferation in the developing liver in the absence of p53. Because p53 has been shown recently to be a member of a family of proteins, other members, i.e., p63 and p73, may compensate for its absence (reviewed in Ref. 29 ).
We report that p53 null adult hepatocytes have proliferative indices between 2 and 2.5 times that of wild type. In addition, we document the presence of highly proliferative, small, basophilic blast-like cells in all p53 null adult livers examined. Their numbers are variable and not age related, which rules out age-dependent changes as the trigger for blast-like cell appearance. We classify the degree of lobular disruption by these blast-like cells as mild, moderate, and severe.
The blast-like cells may be responsible for the increased proliferation of hepatocytes in p53 -/- adult liver in a number of ways: (a) they could achieve this by creating an environment favoring increased hepatic cell proliferation via the production of promitotic cytokines; (b) the hepatic blast-like cells may differentiate into hepatocytes while retaining their proliferative ability; and (c) the increased proliferation may be an inherent property of a mature p53-deficient cell, and the presence of blast-like cells may be the result of aberrant differentiation in the absence of p53. The first two possibilities are unlikely, given the increase in adult hepatocyte proliferation that is observed in vitro in the absence of blast-like cells, as well as in vivo with blast-like cells present. This implies that a lack of p53-mediated checkpoint control has both increased the number of hepatocytes in the proliferative phase and induced the appearance of a cell population with blocked differentiation.
Partial hepatectomies were performed on the adult p53 null mice to assess the contribution of the blast-like cells during liver regeneration. There were two possibilities: either the blast-like cells would not proliferate after surgical resection, or they possess a regenerative capacity and divide to replace lost tissue. The partial hepatectomy data support the former, and there was no increase in proliferation of the blast-like cells. They are not involved in liver regeneration; this lack of contribution to facilitate liver regeneration is similar to the behavior of the liver progenitor (oval) cell (30) .
Because it has been reported (26, 27, 28) that malignant lymphomas are the most common (>70%) tumor to affect the p53 null mouse, it was necessary to exclude the possibility that the blast-like cells in the liver are metastasizing lymphomas. We show that only one-fifth of the blast-like cells are of lymphoid origin, and the remainder are predominately hepatic, expressing both immature and mature liver markers. The hepatic blast-like cells in the liver of the adult p53 null mouse express the definitive liver marker Alb, the mature hepatocyte marker L-PK, and the immature oval cell and hepatoblast markers M2-PK and a small fraction, CK19. We conclude that they are a heterogeneous population, with the majority similar to the hepatoblast in E1618 liver because they express Alb, M2-PK, and L-PK, as reported for the hepatoblast (3 , 31) . It is of interest that a small percentage of blast-like cells express CK19, because it is a marker of biliary cells, hepatic oval cells, and immature hepatoblasts (32) . It is possible that the small percentage of CK19-positive hepatic blast-like cells are either more immature than CK19-negative blast-like cells, or they are differentiating along the biliary lineage.
We report a gradual decrease in expression of Alb and L-PK by hepatocytes in livers affected by increasing numbers of blast-like cells. This is similar to the reduced expression of Alb and L-PK by hepatocytes reported in various models of experimental hepatocarcinogenesis in which oval cells proliferate (33, 34, 35) .
The increase in hepatocyte proliferation and the presence of highly proliferative blast-like cells in the livers of all p53 -/- adult animals should result in increased tissue mass unless apoptosis is increased to maintain tissue size (15) . We found increased proliferation in hepatocytes and blast-like cells in p53 -/- mild and moderate livers, but no significant increase in tissue mass and no expression of caspase-3, a marker of apoptosis. In contrast, severe p53 -/- liver contained 90% blast-like cells and exhibited a massive increase in tissue size and caspase-3 expression in the small populations of hepatocytes. There is an increase in hepatocyte proliferation, concomitant with this apoptotic response. It is possible that the presence of blast-like cells in the mild and moderate p53 -/- animals is not sufficient to cause a significant increase in tissue mass. However, when highly proliferative blast-like cells are occupying the majority of the liver (as in the severe p53 -/- adult), this results in increased tissue size, and apoptosis is increased in an attempt to regulate organ mass. Alternatively, the cycling hepatocytes may themselves signal apoptosis.
There are two possible explanations for the cellular origin of the hepatic blast-like cells in the livers of p53 -/- adult mice: dedifferentiation of mature cells, or maturation arrest of immature cells. We favor the latter because all blast cell populations were phenotypically similar, and cells at intermediate stages of differentiation, between hepatocytes and blast-like cells, were not seen. The possibility exists that these blast-like cells are the progeny of liver stem cells that are found in fetal liver and decrease to low numbers in the adult (10) . Activation of the liver stem cell compartment in the adult occurs after chronic liver injury, including experimental carcinogenesis. Possibly the p53 null liver recruits stem cells in response to early stage preneoplasia, after which maturation is blocked. The appearance of hepatoblast-like cells indicates that liver stem cell differentiation is arrested.
| Materials and Methods |
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Liver Preparation for Immunohistochemistry.
Livers from p53 -/-, +/-, and +/+ mice were collected for various developmental ages: E15, E19, NB, 1W, 2W, 3W, and adult (>6 weeks). Livers were fixed in Carnoys solution (60% ethanol, 30% chloroform, and 10% acetic acid) for 2 h before being processed through graded ethanol and embedded in paraffin wax. Liver sections of 6 µm (or 4 µm for serial sections) were cut and attached to poly-L-lysine-coated slides and dried at 37°C. The sections were dewaxed using Histo-Clear and hydrated using decreasing concentrations of ethanol. Liver sections were stained with H&E to verify morphology and for cell counts.
PCNA Immunohistochemistry.
The indirect immunoperoxidase method for detection of proteins (36)
was used to localize PCNA. Endogenous peroxidases were blocked by treatment with 2.5% aqueous periodic acid (Sigma) for 5 min and then with 0.02% sodium borohydride (Ajax Chemicals) for 2 min. Samples were blocked for 1 h with 10% fetal bovine serum (Life Technologies, Inc.) in PBS (pH 7.4) containing 0.2% saponin (Sigma). Liver sections were then incubated for 4 h at room temperature in biotinylated rat antimouse PCNA (Leinco Technologies) antibody. After three washes with PBS/0.2% saponin, a peroxidase-coupled streptavidin (Dako) was added to the sections and incubated overnight at 4°C in a humidified chamber. The following day, the washing procedure was repeated, and the sections were reacted with 3,3'-diaminobenzidine (Sigma) for 5 min.
B and T Cell and Caspase-3 Immunohistochemistry.
To identify cells of the lymphoid lineage, a mixture of rat monoclonal antibodies (B- and T-cell mixture) reactive with CD3, CD4, CD8 Thy 1.2 (T-cell antigens), and JIID and 6B2 (B-cell antigens) was used as a primary antibody. Apoptosing cells were localized using antibody to the COOH terminus of the human caspase-3 p20 subunit (Santa Cruz Biotechnology), a protease expressed during the early stages of apo ptosis (37
, 38)
. Endogenous peroxidases were blocked by incubation in 3% H2O2, and then sections were incubated in primary antibody overnight at 4°C in a humidified chamber. The following day, sections were washed and then incubated for 1 h at room temperature in the appropriate secondary antibody, antirat IgG conjugated to HRP (Amersham) for B and T cocktail, or antigoat IgG HRP (Rockland) for caspase-3. The sections were washed and then reacted with 3,3'-diaminobenzidine for 5 min.
Blast Cell Characterization by Immunohistochemistry.
To characterize hepatic blast cells, sections were reacted with primary antibodies directed against Alb (39)
, TN (polyclonal rabbit), M2-PK (Rockland), L-PK (40)
, and CK19 (Amersham). Endogenous peroxidases were blocked with 2.5% periodic acid, followed by 0.02% sodium borohydride, and sections were incubated with primary antibody for 1 h at room temperature. The sections were washed then incubated for 1 h at room temperature with the appropriate secondary antibody: antirat IgG HRP (Sanofi Diagnostics Pasteur) for Alb and L-PK, antigoat IgG HRP for M2-PK, and antimouse IgG HRP (Sanofi Diagnostic Pasteur) for CK19. Following this, sections were washed and then reacted with DAB for 5 min. All sections following staining were mounted in glycerol/gelatin and coverslipped.
Quantification of Positive Cells following Immunohistochemistry.
Cells positive for various antigens were scored over 510 fields and expressed as a percentage of total cells in the field. Scores for all animals were expressed as mean ± SE. Where appropriate, results from different groups of animals were compared for variability using one-way ANOVA.
[3H]Thymidine Labeling of Cells.
Primary hepatocyte cultures were established from adult p53 -/- and wild-type mice. Whole liver was perfused via the portal vein with three consecutive solutions: 50 ml of perfusion buffer [0.05 M KCl (BDH), 1.16 M NaCl (BDH), 0.02 M HEPES (BDH), 0.25 M NaHCO3 (Ajax Chemicals), 0.06 M glucose (BDH)] plus 0.61 mM EGTA, 12.5 ml of perfusion buffer, and finally 62.5 ml of perfusion buffer plus 1.3 M CaCl2 and 1.11 x 10-4 units of type I collagenase. The liver was removed from the animal and dissociated in Leibowitz media (Life Technologies, Inc.) with 200 µg/ml bovine serum albumin. The cells were filtered through large-gauge gauze, washed twice with Leibowitz medium before being resuspended in an appropriate volume of Minimum Essential Medium, 10% FBS, and 10-8 M insulin. Cells were plated onto collagen-coated plates at a density of 4.5 x 106/30-mm diameter dish. Once adhered, cells were incubated in 1 µCi of [3H]thymidine (Amersham, Buckinghamshire, United Kingdom) per ml of culture medium for 2 h (incorporation tested linear over 1, 2, and 3 h; result not shown). The cells were thoroughly washed and then scraped from the dish, pelleted, resuspended in 5% trichloroacetic acid, and then heated at 90°C for 1 h. Samples were taken for scintillation counting and DNA assay. The hot acid hydrolysis method (41)
was used to assay DNA. Cytosine arabinoside was used to inhibit cell proliferation to serve as a control for [3H]thymidine incorporation as a result of DNA repair or nonspecific binding (result not shown).
Partial Hepatectomy.
The mice were anesthetised, a small incision was made in the abdomen, and the frontal lobe of the liver was pushed out. The lobe was ligated near the hilus, and the liver tissue was excised, completing a one-third partial hepatectomy. The excised liver was fixed for 2 h in Carnoys fixative. The remainder of the liver was placed inside the abdominal cavity, and the incision was sutured closed. Control, sham-operated mice were opened, and the livers were exposed and sutured closed. Four days after the surgery, the animals were sacrificed by cervical dislocation, and the livers were removed and fixed for 2 h in Carnoys fixative. The livers, before and after partial hepatectomy, were stained with H&E, M2-PK, and PCNA.
RNA Isolation and mRNA Detection.
Whole livers from p53 -/-, +/-, and +/+ mice over various developmental ages, E15, E19, NB, 1W, 2W, 3W, and adult, were collected. For each time point, three mice per genotype were used, and their RNA was analysed individually. Total RNA was isolated using Trizol reagent (Life Technologies, Inc.) according to the manufacturers instructions. Samples of total RNA (15 µg) were electrophoresed through a 1.0% agarose gel containing 2.2 M formaldehyde (42)
and then transferred to Genescreen Plus (NEN) membranes by capillary blotting. Alb, AFP, G-6-Pase, PAH, PEPCK, and GAPDH mRNAs were detected by hybridization with their respective cDNAs: Albumin 3116 (43)
, pRAF 87 AFP (44)
, PAH (45)
, pmcPEPCK2.4 (46)
, pBRAldolase B (47)
, and pRGAPDH-13 (48)
. All cDNA probes were labeled with [
-32P]dCTP (Amersham) using a Mega-Prime kit (Amersham) and hybridized at 42°C for 24 h. The hybridized membranes were washed according to the manufacturers instructions before being exposed to a BAS IIIs phosphorimaging plate (Fuji, Japan). The phosphorimaging screen was scanned using a Fuji Bas 2500 phosphorimager (Fuji, Japan). Quantitative analysis of the images was performed using NIH Image software (Bethesda, MD); mRNA levels were expressed relative to GAPDH mRNA. Quantitative values were compared for variance using a one-way ANOVA.
| Acknowledgments |
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| Footnotes |
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1 This study was supported by the Cancer Foundation of Western Australia, as well as the Raine Medical Research Foundation, of the Faculty of Medicine, The University of Western Australia, and the National Health and Medical Research Council of Australia. ![]()
2 To whom requests for reprints should be addressed, at the Department of Biochemistry, The University of Western Australia, Crawley 6009, Australia. Phone: 618-9380-2986; Fax: 618-9380-1148; E-mail: yeoh{at}cyllene.uwa.edu.au ![]()
3 The abbreviations used are: E, embryonic age; PCNA, proliferative cell nuclear antigen; AFP,
-fetoprotein; Alb, albumin; TN, transferrin; PAH, phenylalanine hydroxylase; PEPCK, phosphoenolpyruvate carboxy kinase; G-6-Pase, glucose-6-phosphatase; PK, pyruvate kinase; CK, cytokeratin; NB, newborn; W, weeks postnatal; GAPDH, glyceraldhyde-3-phosphate dehydrogenase; HRP, horseradish peroxidase. ![]()
Received for publication 11/ 8/00. Revision received 3/ 5/01. Accepted for publication 3/19/01.
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-fetoprotein and rat serum albumin. Proc. Natl. Acad. Sci. USA, 78: 3521-3525, 1981.This article has been cited by other articles:
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| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Cancer Research | Clinical Cancer Research |
| Cancer Epidemiology Biomarkers & Prevention | Molecular Cancer Therapeutics |
| Molecular Cancer Research | Cell Growth & Differentiation |